Adenoidectomy for otitis media in children

Aardweg, Maaike Ta van den; Schilder, Anne G. M.; Herkert, Ellen; Boonacker, Chantal Wb; Rovers, Maroeska M.

doi:10.1002/14651858.cd007810.pub2

Cited by 82 publications

(69 citation statements)

References 34 publications

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“…These infections are the principal reason for repeated physician visits, contribute towards a significant socioeconomic burden, and most importantly represent the primary reason for antibiotic prescription in young children [15][16][17]. Recent research has determined that biofilm formation by pneumococcus and NTHi plays an important role both in colonisation and disease.…”

Section: Antibiofilm Activity Of Surgihoney Reactive Oxygen (Shro) Agmentioning

confidence: 99%

Reactive oxygen: A novel antimicrobial mechanism for targeting biofilm-associated infection

Dryden

Cooke

Salib

et al. 2017

Journal of Global Antimicrobial Resistance

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Reactive oxygen: a novel antimicrobial mechanism for targeting biofilm-associated infection, http://dx.doi.org/10. 1016/j.jgar.2016.12.006 This is a PDF file of an unedited manuscript that has been accepted for publication. As a service to our customers we are providing this early version of the manuscript. The manuscript will undergo copyediting, typesetting, and review of the resulting proof before it is published in its final form. Please note that during the production process errors may be discovered which could affect the content, and all legal disclaimers that apply to the journal pertain.

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Section: Antibiofilm Activity Of Surgihoney Reactive Oxygen (Shro) Agmentioning

confidence: 99%

Reactive oxygen: A novel antimicrobial mechanism for targeting biofilm-associated infection

Dryden

Cooke

Salib

et al. 2017

Journal of Global Antimicrobial Resistance

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“…Three systematic reviews investigated tubes and adenoidectomy and included data from randomized trials and nonrandomized studies. [10][11][12] Comparison treatments included watchful waiting, myringotomy, and different tube types and insertion techniques. We then identified newer trials and observational studies through searches of Medline (via PubMed), Embase, the Cochrane Library, and the Cumulative Index to Nursing and Allied Health Literature (CINAHL) for studies published in English and conducted in any geographic location or setting.…”

Section: Data Sources and Search Strategymentioning

confidence: 99%

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

et al. 2014

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BACKGROUND AND OBJECTIVE: The near universality of otitis media with effusion (OME) in children makes a comparative review of treatment modalities important. This study' s objective was to compare the effectiveness of surgical strategies currently used for managing OME. METHODS:We identified 3 recent systematic reviews and searched 4 major electronic databases. Eligible studies included randomized controlled trials, nonrandomized trials, and cohort studies that compared myringotomy, adenoidectomy, tympanostomy tubes (tubes), and watchful waiting. Using established criteria, pairs of reviewers independently selected, extracted data, rated risk of bias, and graded strength of evidence of relevant studies. We incorporated meta-analyses from the earlier reviews and synthesized additional evidence qualitatively. RESULTS:We identified 41 unique studies through the earlier reviews and our independent searches. In comparison with watchful waiting or myringotomy (or both), tubes decreased time with OME and improved hearing; no specific tube type was superior. Adenoidectomy alone, as an adjunct to myringotomy, or combined with tubes, reduced OME and improved hearing in comparison with either myringotomy or watchful waiting. Tubes and watchful waiting did not differ in language, cognitive, or academic outcomes. Otorrhea and tympanosclerosis were more common in ears with tubes. Adenoidectomy increased the risk of postsurgical hemorrhage.CONCLUSIONS: Tubes and adenoidectomy reduce time with OME and improve hearing in the short-term. Both treatments have associated harms. Large, well-controlled studies could help resolve the riskbenefit ratio by measuring acute otitis media recurrence, functional outcomes, quality of life, and long-term outcomes. Research is needed to support treatment decisions in subpopulations, particularly in patients with comorbidities.

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“…In a neglected, long standing situation, this could result in hypoxia, pulmonary hypertension, right ventricular hypertrophy and cor-pulmonale [2]. Other indications for adenoidectomy include failure to thrive, recurrent or persistent middle ear effusion and recurrent or chronic sinusitis [3][4][5].…”

Section: Introductionmentioning

confidence: 99%

Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

Fasunla

Onakoya

Ogunkunle

et al. 2011

Indian J Otolaryngol Head Neck Surg

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To evaluate the relevance of routine electrocardiographic request in pre-operative work-up of children undergoing adenoidectomy. This is a two year prospective study of children with obstructive adenoid that had adenoidectomy. This is a tertiary hospital based study at the Otorhinolaryngology Department of University College Hospital, Ibadan. Children (B12 years) with clinical and radiological evidence of an obstructive adenoid were investigated. Information obtained with an interviewer assisted questionnaire included the biodata, clinical presentation of the patients, ECG findings, echocardiographic findings, cardiothoracic ratio, palatal airway and ratio of adenoid diameter to the nasopharyngeal diameter. The adenoid volume was measured after adenoidectomy. The results were analyzed using SPSS version 14 and level of statistical significance was P \ 0.05. There were seventy four patients; 45 (60.8%) males and 29 (39.2%) females with a mean age of 38.35 months, S.D ± 30.32 (range 5-144 months). All the patients presented with mouth breathing and recurrent mucopurulent rhinorrhea. Mild snoring was detected in 18 (25%) patients, moderate snoring in 39 (54.17%) patients and severe snoring in 15 (20.83%) patients. Mild apnea was observed in 55 (74.32%) patients and moderate in 19 (25.68%) patients. Only seven (9.46%) patients had abnormal electrocardiographic findings but their ejection fraction on echocardiography ranged from 63 to 72% with a mean value of 68.17%, S.D ± 3.22. Cardiac complications of enlarged obstructive adenoid appear not to be common. Routine preoperative electrocardiography should therefore be restricted to only the high risk patients.

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Adenoidectomy for otitis media in children

Cited by 82 publications

References 34 publications

Reactive oxygen: A novel antimicrobial mechanism for targeting biofilm-associated infection

Reactive oxygen: A novel antimicrobial mechanism for targeting biofilm-associated infection

Surgical Treatments for Otitis Media With Effusion: A Systematic Review

Routine Electrocardiography Request in Adenoidectomy: Is it necessary?

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